Organization Active NPI

District Dental Group of Fairfax

  • General Practice Dentistry
  • Fairfax, VA
National Provider Identifier
1992680441
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DISTRICT DENTAL GROUP OF FAIRFAX
Practice address
10875 Main St Ste 206
Fairfax, VA 22030-4732
Phone
(703) 273-2040
NPI assigned
Aug 6, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Paraskevas Kourtsounis, DDS, MBSNPI 1144633751
Title
Practice Owner
Phone
(703) 273-2040

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

10875 Main St Ste 206
Fairfax, VA 22030-4732

Mailing address

10875 Main St Ste 206
Fairfax, VA 22030-4732
Phone (703) 273-2040

National Provider Directory

National Provider Directory

Locations

10875 Main St
Ste 206
Fairfax, VA 22030
Phone (703) 273-2040

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1754438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754438400000",
    "number": "1992680441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10875 MAIN ST STE 206",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220304732",
            "telephone_number": "703-273-2040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10875 MAIN ST STE 206",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220304732",
            "telephone_number": "703-273-2040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISTRICT DENTAL GROUP OF FAIRFAX",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-06",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A",
        "authorized_official_last_name": "KOURTSOUNIS",
        "authorized_official_first_name": "PARASKEVAS",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "703-273-2040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MBS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.